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British Journal of Radiology (2006) 79, e162-e165
© 2006 British Institute of Radiology
doi: 10.1259/bjr/10360703
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Successful embolisation of intrahepatic portosystemic venous shunt using coils and n-butyl cyanoacrylate through two approach routes

R Yoshimatsu, MD 1,2 Y Takeuchi, MD, PhD 1 H Morishita, MD, PhD 1 N Iida, MD 1 H Okabe, MD 1 T Yamagami, MD, PhD 2 and T Nishimura, MD, PhD 2

1 Department of Radiology, Kyoto First Red Cross Hospital, 15-749 Honmachi, Higashiyama, Kyoto, 605-0981, 2 Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan


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  		Figure 1. An 82-year-old woman with an intrahepatic portosystemic venous shunt (IPSVS) in the right hepatic lobe. (a) Contrast-enhanced abdominal CT shows an abnormal vessel running through the right hepatic lobe (arrow). (b) Direct portography shows only one shunt between the right hepatic vein and the right portal vein (arrow). (c) Direct portogram taken after the embolisation procedure shows the complete obliteration of the IPSVS. Note that the steel coils (arrow) and the NBCA-Lipiodol mixture (arrowhead), both of which were inserted into the IPSVS as embolic agents, are visible.

 




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